SINDROME DE MEIGS PDF

It is defined by a triad of a benign ovarian tumor, ascites and pleural effusion that resolves after tumor resection. This syndrome in known since the 19th century, but its pathophysiology it stills unclear. It has a progressive incidence from the third decade of life until the menopausal age. Its clinical importance relays on the fact that it is a benign condition with an excellent prognosis, contrary to other ovarian malignancy with peritoneal and pleural metastasis. The present article aims to report a clinical case of Meigs syndrome.

Author:Zulushicage Gardall
Country:Sudan
Language:English (Spanish)
Genre:Life
Published (Last):26 October 2016
Pages:358
PDF File Size:18.12 Mb
ePub File Size:12.72 Mb
ISBN:339-3-49632-469-2
Downloads:96818
Price:Free* [*Free Regsitration Required]
Uploader:Mozragore



Elevated serum CA levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor. However, patients with Meigs' syndrome can also have elevated serum CA levels. The authors report a case of Meigs' syndrome with elevated CA level. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion.

With recurrence of the pleural effusion and increase in abdominal volume due to ascites and a pelvic mass, the patient sought our service. Transvaginal ultrasound showed an extensive adnexal solid mass of With a preoperative diagnosis of ovarian carcinoma, the patient was submitted to exploratory laparotomy, which revealed a left ovarian tumor.

The frozen section diagnosis was thecoma. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The histology of the specimen confirmed the diagnosis of thecoma.

The patient was asymptomatic with a normal serum CA level 20 months after the operation. Key words: Meigs' syndrome. CA Antigen. Ovarian tumor. Ovarian carcinoma. Realizou-se uma histerectomia total abdominal com salpingo-ooforectomia bilateral. Tumor ovariano. Carcinoma ovariano. Elevated serum carbohydrate antigen CA levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor.

However, patients with Meigs' syndrome can also have elevated serum CA a tumor marker levels. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion in her left lung and at that time she had begun therapeutic tests for tuberculosis, using isoniazid, rifampicin and pyrazinamide, without clinical improvement.

Chest examination revealed dullness to percussion and lack of breath sounds in her left lung. There was arching in the lower abdomen due to a firm and immobile pelvic mass. The gynecological examination brought out evidence of arching of the vesicouterine and rectouterine pouches due to extrinsic compression, and the uterine cervix was normal.

The patient was interned and submitted to pleural drainage and biopsy that indicated non-specific chronic pleurisy. Ultrasound showed an extensive adnexal solid mass of about Due to clinical suspicion of malignant ovarian tumor, the patient was submitted to exploratory laparotomy that brought out evidence of the presence of serohematic ascites and a left ovarian tumor measuring 14 x 12 x 8 cm with a solid lobular appearance Figure 1.

The frozen section diagnosis of the ovarian tumor was thecoma. Total abdominal hysterectomy was performed, with bilateral salpingo-oophorectomy and cholecystectomy because of the presence of cholelithiasis. Histopathological examination of the tumor revealed a benign stromal lesion with tumor cells arranged in a fascicular fashion consistent with thecoma Figure 2.

The postoperative period was uneventful and the patient was discharged from hospital on the 7th postoperative day. The serum CA level on the 4th postoperative day was Serum CA levels have ranged from The main theory is that the transudation mechanism through the tumor surface exceeds the capacity for peritoneal reabsorption. Another mechanism implicates the congestion of the peritoneal lymphatic vessels and regional veins caused by the tumoral mass itself or vasoactive substances released by the tumor.

It can, however, be elevated in benign disorders, such as endometriosis, pelvic inflammatory disease and uterine leiomyoma. Serum CA levels can also increase in pericardial, pleural and peritoneal irritation or inflammation. However, thecoma forming part of Meigs' syndrome is also a diagnostic possibility. Meigs' syndrome with elevated CA case report and review of the literature. Elevated CA in Meigs syndrome.

Int J Gynaecol Obstet ;43 1 Pleural effusion and a pelvic mass. Postgrad Med J ;74 CA antigen levels in obstetric and gynecologic patients. Obstet Gynecol ;64 5

LA STRADA PER VIRGIN RIVER ROBYN CARR PDF

Meigs' syndrome

Elevated serum CA levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor. However, patients with Meigs' syndrome can also have elevated serum CA levels. The authors report a case of Meigs' syndrome with elevated CA level. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion. With recurrence of the pleural effusion and increase in abdominal volume due to ascites and a pelvic mass, the patient sought our service. Transvaginal ultrasound showed an extensive adnexal solid mass of

ASME B18.8.2 PDF

Síndrome de Meigs Online (Meigs´s syndrome)

Abstract Diagnosing Meigs' syndrome is challenging in that it can be mistaken for a number of other conditions. Ultrasound can identify ascites and pleural effusions, which is essential in accurate identification. Keywords: Meigs, ovarian tumours, ultrasound Introduction Meigs' syndrome is diagnosed based on a triad of an ovarian fibroma, pleural effusion and ascites. It resolves spontaneously after the resection of the fibroma.

Related Articles